Soudan, Khaldoun
Soudan, Khaldoun is an individual health care provider with primary practice located at 2220 Worley Dr , Alexandria LA 71301-3600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Soudan, Khaldoun can be contacted via phone (318) 704-0001.Contact Information
Primary practice address
2220 Worley Dr
Alexandria LA 71301-3600
Phone: (318) 704-0001
Fax: (318) 704-0002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 204504 | Louisiana |
Profile Details
| NPI number | 1164411815 |
|---|---|
| LBN Legal business name | Soudan, Khaldoun |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2005 |
| Last updated | Jul 17th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164411815 | NPPES |
| Louisiana | MEDICAID | 2151665 |
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